Click on the links below to download the patient forms.
They can then be printed and filled out before your first visit.
PBH Adult Intake Packet
PBH Adult Office Policies Client Copy
PBH Child Adolescent Intake Packet
PBH Child/Adolescent Office Policies Client Copy
PBH Release of Information
Please be sure to have all intake paperwork done prior to your scheduled appointment time. Have your paperwork, insurance card, and driver’s license ready for our clerical staff.
Clients are seen on an appointment basis and sessions range from 45 - 60 minutes. An attempt is made to arrange a time which is most convenient for the client.
If your insurance company is not listed, you can confirm our network participation by calling the phone # on the back of your insurance card or give us a call to ask our clerical staff.
Initial visit: $160
Individual/couple/family visit: $120-$150
(varies according to time spent and service provided)